| NPI | 1093705964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT-05167) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-9563) |
| 225100000X Physical Therapist (Licence: KY 003914) | |
| 225X00000X Occupational Therapist (Licence: KY R-1875) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2021-01-21 |