| NPI | 1598199036 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 133786) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R5655) | 
| Enumeration Date | 2013-09-01 | 
| Last Update Date | 2024-10-28 |