| NPI | 1013281658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI OT-1613) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA-2408) |
| 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000965) | |
| 225200000X Physical Therapy Assistant (Licence: VA 2306603207) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2019-02-02 |