| NPI | 1790793859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 261QR0400X) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 100283) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-04-21 |