| NPI | 1902145550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 115063) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2020-10-10 |