| NPI | 1023397106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-1953) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1161) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2026-06-22 |