| NPI | 1902016025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60794368) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 3424) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-06-16 |