| NPI | 1487064622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113770) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 113770) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |