| NPI | 1124445861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 15535) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT29875) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-12-03 |