| NPI | 1568899631 |
|---|---|
| Former Name | LYDIA WUKASCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60310648) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 302919) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2026-07-16 |