| NPI | 1710598818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 108774) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-1513) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2021-08-17 |