| NPI | 1689115669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WY OTR-1017) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: WY OTR-1017) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |