| NPI | 1770881708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision (Licence: KY 131122) |
| Additional Taxonomies | 225XL0004X Occupational Therapist, Low Vision (Licence: KS T02895) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2019-03-21 |