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 |