| NPI | 1639145287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY RO976) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN OT0000000773) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-07-08 |