| NPI | 1639643950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60923199) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 131284) |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-20 |