| NPI | 1851715643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 210996) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 210996) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |