| NPI | 1588770234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60233608) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 0720000317) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-04-14 |