| NPI | 1972970416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60138440) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60633997) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2020-08-07 |