| NPI | 1780003343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115963) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L305875) |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: TX 115963) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 115963) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-06-26 |