| NPI | 1013157551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 104202) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT13409) |
| 225100000X Physical Therapist (Licence: MN 9175) | |
| 225100000X Physical Therapist (Licence: FL 25294) | |
| 225X00000X Occupational Therapist (Licence: TX 114446) | |
| 225100000X Physical Therapist (Licence: TX 1202240) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2013-09-25 |