| NPI | 1013040658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT600023105) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9255) |
| 225X00000X Occupational Therapist (Licence: HI 1397) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-09-09 |