| NPI | 1730221912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 103982) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 103982) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-05-01 |