| NPI | 1356764138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 115905) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 305226) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2015-04-29 |