| NPI | 1679827539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 124383) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA HEINZAD171NA) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2024-02-20 |