| NPI | 1104221639 |
|---|---|
| Former Name | KATELYN NICOLE BOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60974175) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2021-05-20 |