| NPI | 1750822300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60731216) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119007198) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2021-04-12 |