| NPI | 1720269632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00001838) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 984484) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |