| NPI | 1740767631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 244933) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: KY 244933) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2020-06-02 |