| NPI | 1285052621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115945) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 115945) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |