| NPI | 1104100577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 109201) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109201) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2023-02-23 |