| NPI | 1124427406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CT 004413) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 018673-1) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2015-06-24 |