| NPI | 1942565163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 135463) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R3536) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2021-09-20 |