| NPI | 1679321608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist Gerontology (Licence: WA OT61143243) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT61143243) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-06-21 |