| NPI | 1750622783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OT60335828) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60335828) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2018-03-02 |