| NPI | 1740863505 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 124635) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 124635) | 
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2021-04-29 | 
| Last Update Date | 2024-06-09 |