| NPI | 1366081127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 131972) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: KY 131972) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2021-04-13 |