| NPI | 1669881165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61038681) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60487846) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2020-07-08 |