| NPI | 1164124319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61410503) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 482754) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |