| NPI | 1760754998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 134113) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R5804) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2023-09-20 |