| NPI | 1174620850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 107168) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XP0200X Occupational Therapist Pediatrics (Licence: TX 107168) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2022-06-09 |