| NPI | 1801962725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 1066750) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT0003868) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-09-12 |