| NPI | 1639158215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 107590) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2022-03-02 |