NPI | 1790945376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110793) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 110793) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2022-07-21 |