| NPI | 1396432100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 124249) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 23031) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2025-07-20 |