| NPI | 1043594088 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 288801) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60685229) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2024-07-03 |