| NPI | 1104324441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 117924) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK 2173) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |