| NPI | 1801181490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60739443) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 09712) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 3274) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-09-26 |