| NPI | 1548580590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2670) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA 2244) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2014-01-21 |