| NPI | 1407259088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: WA OT60433863) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60433863) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: WA OT60433863) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |