| NPI | 1073710950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC00001214) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ID OTA-039) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |