| NPI | 1023326253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT 00001254) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 282954) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |