| NPI | 1558471813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00003262) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT00003262) | 
| Enumeration Date | 2006-08-30 | 
| Last Update Date | 2018-11-05 |