| NPI | 1649510199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MT 6115) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-1150) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2018-08-24 |