| NPI | 1184093981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-1123) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-11-30 |