| NPI | 1063136000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114690) |
| Additional Taxonomies | 101Y00000X Counselor |
| 174N00000X Lactation Consultant, Non-RN (Licence: TX 353382) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-04-04 |