| NPI | 1548319643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60378531) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00016377) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-03-17 |