| NPI | 1063818144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132566) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R5903) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2022-04-13 |