| NPI | 1427698927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-1472) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO OT-6066) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |