| NPI | 1164810982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R2526) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31003443A) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |