| NPI | 1508626250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 1849) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 107406) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-01-23 |