| NPI | 1194299610 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60891701) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2023-04-11 |