| NPI | 1962273599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61479171) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 497530) |
| 225X00000X Occupational Therapist (Licence: TX 123926) | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |