| NPI | 1215272455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC60120915) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA OC60120915) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-10-30 |