| NPI | 1760777262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: OK 2139) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114272) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-03-02 |