| NPI | 1417393323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-662) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT.0003658) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2017-03-20 |