| NPI | 1154724045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 1670) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WY 831) |
| 225X00000X Occupational Therapist (Licence: CO 0007595) | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2022-09-14 |