| NPI | 1619258159 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-1591)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60239381)  | 
| Enumeration Date | 2011-08-29 | 
| Last Update Date | 2023-12-13 |