| NPI | 1508453341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-1543) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV 17-0933) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |