| NPI | 1346586427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60712198) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 5617) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 5306) | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2016-12-21 |