| NPI | 1992102552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 994) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: WY OT-994) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2020-06-02 |