| NPI | 1598918542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 131967) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KY-R4070) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: KY KY-R4070) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2016-10-11 |