| NPI | 1205470580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 60282840) |
| 225X00000X Occupational Therapist (Licence: AK 123152) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |