| NPI | 1275959132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 104672) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 14441) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-10-13 |