| NPI | 1104966316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132240) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 4764) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-10-05 |