| NPI | 1104287192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: KY BOTOCT00217413) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 163770) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2023-06-01 |