| NPI | 1568973626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60749959) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006750) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |