| NPI | 1316492440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 1047614) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-697) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-12-12 |