| NPI | 1275154288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 61040566) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 21017) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |