| NPI | 1972069821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61482768) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist | |
| 225X00000X Occupational Therapist (Licence: CA OT23092) | |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-10-26 |