| NPI | 1508840810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 0779) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 1653) |
| 225X00000X Occupational Therapist (Licence: WA OT00003805) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2009-01-08 |