| NPI | 1184122459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA 60824409) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 174089) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-04-22 |