| NPI | 1164814372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY BOTOCT00217063) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: KY BOTOCT00217063) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KY BOTOCT00217063) | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |