| NPI | 1316084452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC 1337) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WY OTR-453) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-10-30 |