| NPI | 1235612375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61376795) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022913) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-01-09 |