| NPI | 1568659290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 106402) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT004598) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-12-09 |