| NPI | 1568729341 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114627) | 
| Enumeration Date | 2012-04-18 | 
| Last Update Date | 2019-01-18 |