| NPI | 1619163847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 225X00000X Occupational Therapist (Licence: KY R3784) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2022-10-05 |