| NPI | 1689769317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 105922) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 105922) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-07-22 |