| NPI | 1992345011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist Environmental Modification (Licence: WA 60850227) |
| Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology (Licence: WA 60850227) |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: WA 60850227) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |