| NPI | 1104260223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60342206) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 5376) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2014-03-02 |