| NPI | 1376674911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 115130) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT7818) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-06-05 |