| NPI | 1477607265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 2831) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 0253A) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |