| NPI | 1376758805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004118) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119003427) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-05-03 |