| NPI | 1144778002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60771135) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OTR 16378) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2017-10-17 |