| NPI | 1043731912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA OC60382972) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2018-05-18 |