| NPI | 1538269543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 1005) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 052973) |
| 225X00000X Occupational Therapist (Licence: KY R2986) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-09-20 |