| NPI | 1922331669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60532794) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160045613) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2015-11-01 |