| NPI | 1679159339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121608) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |