| NPI | 1104521244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109140) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: TX 109140) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |