| NPI | 1962679951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 2392) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2025-01-06 |