| NPI | 1770859019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 113768) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113768) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2019-05-29 |