| NPI | 1790074623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC00000827) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ID OTA1352) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2019-06-11 |