| NPI | 1730504960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R1306) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2022-10-21 |