| NPI | 1073050803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC 00001076) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OR 1029288) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |