| NPI | 1033616875 |
|---|---|
| Former Name | KAYLIE ELAINE DINNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-1331) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-05-01 |