| NPI | 1548407208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004569) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: FL OT12629) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2024-04-12 |