| NPI | 1093203671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 00002547) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 979459) |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2018-04-29 |