| NPI | 1538614482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT 60663923) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0004077) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |