| NPI | 1295114833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR 1245) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115613) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2017-03-08 |