| NPI | 1285095380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-514) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WY OTR514) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2021-06-13 |