| NPI | 1528787561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-1701) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0007536) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-03-07 |