| NPI | 1548806631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OT-1471) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18415) |
| 225X00000X Occupational Therapist (Licence: TX 118644) | |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |