| NPI | 1619399508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 7334-26) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-1050) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2025-01-26 |