| NPI | 1457859258 |
|---|---|
| Former Name | KATHRYN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 15570) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-317029) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2025-04-07 |