| NPI | 1053468603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 111722) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 37382) |
| 103TC0700X Psychologist, Clinical (Licence: TX 37382) | |
| 225X00000X Occupational Therapist (Licence: TX 111722) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-06-17 |