| NPI | 1164816930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 116842) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 116842) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2024-06-12 |