| NPI | 1487192654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60722954) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO OT.0004881) |
| 174400000X Specialist (Licence: NC 10256) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |