| NPI | 1316264708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 6636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA OT005933) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2018-04-16 |