| NPI | 1548301542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-741) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 003684) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2022-11-04 |