| NPI | 1619579562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 267089) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: KY 267089) |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2024-03-14 |