| NPI | 1023558715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60732397) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 16642) |
| 225X00000X Occupational Therapist (Licence: NM 3615) | |
| 225X00000X Occupational Therapist (Licence: OR 360971) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |