| NPI | 1356634844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 285584) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 114295) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2026-02-11 |