| NPI | 1265019665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT00001956) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA ot00001956) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-11-23 |