| NPI | 1013318575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: WA OT60423658) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |