| NPI | 1538453089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MT 1127) |
| Additional Taxonomies | 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: MT 1127) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: WA OT 00003449) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |