| NPI | 1487979373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08856) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE008621) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2020-01-06 |