| NPI | 1861709149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY OTR-586) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WY OTR-586) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2016-07-06 |