| NPI | 1700102068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KY KYOTA0046) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY MT0025) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2015-09-30 |