| NPI | 1699156794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132982) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT006196) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2016-10-28 |