| NPI | 1588700306 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 100488) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 100488) | 
| Enumeration Date | 2007-01-29 | 
| Last Update Date | 2007-12-07 |