| NPI | 1457690117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA PT022378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15262) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2019-02-28 |