| NPI | 1669711529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 283813) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119004960) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2025-09-01 |