| NPI | 1073832259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 111893) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015190-1) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |