| NPI | 1073011045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61100297) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20881) |
| 225X00000X Occupational Therapist (Licence: OR 433876) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2020-12-09 |