| NPI | 1790152841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0003840) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-1152) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |