| NPI | 1528037389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132712) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R2566) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2016-06-09 |