| NPI | 1174988612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OR 979426) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA OC00001123) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |