| NPI | 1629412739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115095) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 13209) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2021-04-29 |