| NPI | 1679770226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112204) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112204) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 112204) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-12-11 |