| NPI | 1689703621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 135507) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R-3259) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2024-08-20 |