| NPI | 1164978953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 1414T) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME T03225) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-05-24 |