| NPI | 1689746703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-812) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: WA OT3934) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-20 |