| NPI | 1720266109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 252576) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 12797) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 252576) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2019-10-01 |