| NPI | 1770730319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 132688) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KY T3970) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2020-01-28 |