| NPI | 1104045087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112077) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112077) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |