| NPI | 1467677757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00003902) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 12518) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-10-15 |