| NPI | 1770596173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 1005731) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00003273) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-15 |