| NPI | 1003093899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0925) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NH 0566) |
| 224Z00000X Occupational Therapy Assistant (Licence: VT 073-0000184) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |