| NPI | 1356561922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501002240) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201002191) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |