| NPI | 1205686789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 290741) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: KY 290741) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-09-09 |