| NPI | 1912118241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00003227) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 1041072) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |