| NPI | 1306124326 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NE 1060) | 
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: IA 001817) | 
| Enumeration Date | 2011-07-25 | 
| Last Update Date | 2011-07-25 |