| NPI | 1669901203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00000653) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA OT0000653) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-29 |