| NPI | 1801072731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 134172) |
| Additional Taxonomies | 171W00000X Contractor (Licence: KY R1147) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2018-06-06 |