| NPI | 1710426366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60721759) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 15171) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |