| NPI | 1639530041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: WA OT60631742) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: OR 1041669) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |