| NPI | 1083755888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009666) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00004049) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-05-16 |