| NPI | 1467476820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC00000744) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013631) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |