| NPI | 1629571500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT1857) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60831671) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-17 |