NPI | 1366094732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 120069) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120069) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2025-02-17 |