NPI | 1669614905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: TX 122278) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L302117) |
225X00000X Occupational Therapist (Licence: TX 122278) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: TX 122278) | |
Enumeration Date | 2009-04-01 |
Last Update Date | 2023-06-22 |