| NPI | 1639955370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 124012) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 124012) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |