| NPI | 1760533947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 0720000549) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00002747) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-12-09 |