| NPI | 1578639902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX 0-02-0520) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 106160) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |