| NPI | 1740604644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-1138) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 2204) |
| 225X00000X Occupational Therapist (Licence: ID OT-1117) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2020-08-04 |