| NPI | 1669798294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R4159) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |