| NPI | 1679876999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 107980) |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: TX 107980) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: TX 107980) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |