| NPI | 1316292774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA z12324) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 05275) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2016-01-29 |