| NPI | 1356634844 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 114295) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 285584) | 
| Enumeration Date | 2011-05-17 | 
| Last Update Date | 2020-05-22 |