| NPI | 1962408567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WY COTA-534) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WY COTA-589) |
| 225100000X Physical Therapist (Licence: WY PT-891) | |
| 225200000X Physical Therapy Assistant (Licence: WY PTA-490) | |
| 225X00000X Occupational Therapist (Licence: WY OTR-452) | |
| 225X00000X Occupational Therapist (Licence: WY OT-031) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WY SP-395) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WY SP-169) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-07-08 |