| NPI | 1952463945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 110285) |
| Additional Taxonomies | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: TX 110285) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: TX 110285) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |