| NPI | 1629360102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 111956) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 111956) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2018-05-09 |