| NPI | 1235800871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 1546) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-1546) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |