| NPI | 1376944710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60484182) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MI 5201008864) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |