| NPI | 1285764746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IA 00586) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 00582) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |