| NPI | 1104337062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 5535) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 4400) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |