| NPI | 1417225517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT10362) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA. 01630) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2021-06-14 |