| NPI | 1407067192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R2959) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 005348) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-09-12 |