| NPI | 1417323924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 118749) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 019901-1) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2019-06-24 |