| NPI | 1114536059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 502589) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 61483031) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-12-13 |