| NPI | 1912376864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 166486) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY BOTOCT00222588) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2016-11-17 |