| NPI | 1073857173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1702568) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KS 130731) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |