| NPI | 1922301266 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 5275546-4201) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60543459) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2024-06-06 |