| NPI | 1194156901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-1218) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT 60205352) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |