| NPI | 1396395216 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120264) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 120264) | 
| Enumeration Date | 2019-09-12 | 
| Last Update Date | 2023-09-21 |