NPI | 1730412073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX TX-02138) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 13771) |
Enumeration Date | 2009-09-17 |
Last Update Date | 2017-10-30 |