| NPI | 1407521685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT011690) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 270418) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-03-01 |