| NPI | 1942363486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 61394253) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013224) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-10-25 |