| NPI | 1720486905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 211817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 211817) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2018-09-12 |