| NPI | 1376064840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-1791) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-1171) |
| 225X00000X Occupational Therapist (Licence: CO OT.0004476) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-08-10 |