| NPI | 1366611766 | 
|---|---|
| Former Name | DEBRA MORENO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT 60013982)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| Enumeration Date | 2008-02-29 | 
| Last Update Date | 2023-02-28 |