| NPI | 1689862930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-902) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 2482) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2012-08-30 |