| NPI | 1972698710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT15609) |
| Additional Taxonomies | 174400000X Specialist (Licence: WY OTR-0026) |
| 225X00000X Occupational Therapist (Licence: WY OT-026) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-06-09 |