| NPI | 1710356761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60813405) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 15-0630) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-05-17 |