| NPI | 1003374463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 264203) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2019006741) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-10-21 |