| NPI | 1700449071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0005820) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-1415) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2021-03-10 |