| NPI | 1366562217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10159) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT19439) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2012-05-26 |