| NPI | 1801168422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 116109) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 11455) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2014-04-24 |