| NPI | 1063700185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60212107) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 2975) |
| 225X00000X Occupational Therapist (Licence: CO 531) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |