NPI | 1154834463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 174700) |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: KY 174700) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2022-12-12 |