| NPI | 1871133785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60831660) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA 1033475769) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2022-12-07 |