| NPI | 1982007035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: WA OT60068984) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60068984) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2020-06-15 |