| NPI | 1659602555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-962) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-962) |
| 225XH1200X Occupational Therapist, Hand (Licence: WY OTR-962) | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2024-10-07 |