| NPI | 1922131572 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109860) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 109860) | 
| Enumeration Date | 2007-03-13 | 
| Last Update Date | 2014-08-06 |