| NPI | 1497275200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 111060) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |