| NPI | 1629456025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60911713) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2018-11-29 |