| NPI | 1881237790 |
|---|---|
| Former Name | SANDRA ELIZABETH BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA 61479594) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA 60682035) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2023-11-03 |