| NPI | 1306371703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 242864) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 304452) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-09-04 |