| NPI | 1609643618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA HP61475775) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC60938301) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-20 |