| NPI | 1255736633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60814065) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 12345) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2019-05-22 |