| NPI | 1568760106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60213394) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00012319) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2021-05-12 |