| NPI | 1609342211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61404671) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60561361) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-03-21 |