| NPI | 1437609880 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT60698486) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR OT365774) | 
| Enumeration Date | 2016-10-10 | 
| Last Update Date | 2019-10-01 |