| NPI | 1043751704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT 60567292) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 346029) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |