| NPI | 1760162101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist Mental Health (Licence: KY R2533) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation |
| 225XG0600X Occupational Therapist Gerontology (Licence: KY R2533) | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |