| NPI | 1235467077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC60470009) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00018379) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2014-07-29 |