| NPI | 1336763184 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 17642) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT61036956) | 
| Enumeration Date | 2020-06-07 | 
| Last Update Date | 2024-05-06 |