| NPI | 1255693768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR3088) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA2640) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2017-11-08 |