| NPI | 1093835449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306000640) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-09-15 |