| NPI | 1083981559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 132707) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY RO183) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2022-07-01 |