| NPI | 1396954020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 133554) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KY-R1249) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-07-23 |