| NPI | 1275935413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 14669) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60772125) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2018-05-11 |