| NPI | 1487271714 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 122696) | 
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant | 
| Enumeration Date | 2020-07-02 | 
| Last Update Date | 2022-09-14 |