| NPI | 1154556405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R2408) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KY R2408) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2013-09-13 |