| NPI | 1962880203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT 60044826) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 12942) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |