| NPI | 1760624142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112929) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT15169) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2012-08-15 |