| NPI | 1932649266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60735293) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1720) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-06-23 |