| NPI | 1710619507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61503442) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC019127) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-01-11 |