| NPI | 1356555064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: KY 132403) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: KY R0719) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-05-26 |