| NPI | 1508978156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: TX 107737) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 107737T) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |