| NPI | 1982927034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC60996364) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60107872) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2019-11-26 |