| NPI | 1376881110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-764) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT 00002264) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |