| NPI | 1619229465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08228) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT 0003942) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2019-01-04 |