| NPI | 1912442955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 123380) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA 300617) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2023-02-23 |