| NPI | 1598271462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60560743) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104928) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2022-05-31 |