| NPI | 1255730594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 132372) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-1083) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2023-08-29 |