| NPI | 1205123999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 119522) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 3762) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2018-11-30 |