| NPI | 1003070152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: KY R0089) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 132337) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2020-12-08 |