| NPI | 1336301357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA02165) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 115114) |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 115114) | |
| 225XH1300X Occupational Therapist, Human Factors (Licence: TX 115114) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2013-05-01 |