| NPI | 1598121451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R4397) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 300560) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |