| NPI | 1356414783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY KY-R2646) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31003978A) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |