| NPI | 1295012995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R0246) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31000955A) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |