| NPI | 1780064089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 111771) |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing (Licence: TX 111771) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |