| NPI | 1174875397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY r2788) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31005403a) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2022-10-05 |