| NPI | 1790201127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-1283) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OT-1283) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2019-09-24 |