| NPI | 1073389185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 124130) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 124130) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-11-21 |