| NPI | 1821500828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 123453) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 214778) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2023-03-21 |