| 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 | 2016-11-18 |