| NPI | 1376839639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31001531A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06000761A) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-27 |