| NPI | 1730620550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110601) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 110601) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 110601) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |