| NPI | 1457787301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132040) |
| Additional Taxonomies | 171W00000X Contractor (Licence: KY R5089) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2017-01-16 |