| NPI | 1780903500 |
|---|---|
| Former Name | LYDIA ELLEN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: WA OT 60134753) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-03-22 |