| NPI | 1396133401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 211) |
| Additional Taxonomies | 171W00000X Contractor (Licence: WY Sped Teacher) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |