| NPI | 1871895946 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 113861)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R3669)  | 
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2010-11-23 | 
| Last Update Date | 2018-10-18 |