| NPI | 1083995682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60240587) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 0011268) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2012-06-25 |