| NPI | 1891002457 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 112895) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 112895) | 
| Enumeration Date | 2010-09-02 | 
| Last Update Date | 2010-09-02 |