| NPI | 1962530931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: KY 133062) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R2298) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 133062) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-03-19 |