| NPI | 1417502675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 3381) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-1434) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-10-02 |