| NPI | 1487025748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA 00002623) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 9169) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2021-10-22 |