| NPI | 1295890036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 131119) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R2545) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2019-01-04 |