| NPI | 1215287008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT60234654) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR OT287043) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |