| NPI | 1316215023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: VA 0119006215) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000499) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2014-03-12 |