| NPI | 1700424280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 120446) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: TX 120446) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-11-01 |