| NPI | 1427280189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: KY 201103672) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A03978) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-06-15 |