| NPI | 1356860985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT60803649) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 4042) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-08-25 |