| NPI | 1720256654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 131484) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R1354) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2022-09-15 |