| NPI | 1043563331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 00001583) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 2009025709) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2020-07-29 |