| NPI | 1477506368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 1342) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-486) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-01-19 |