| NPI | 1225372287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: KY R0787) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: OH 205) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |