| NPI | 1912629395 |
|---|---|
| Former Name | LYDIA CHRISTINE KAHLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 115587) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 2689) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-01-12 |