| NPI | 1558489468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2532) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA 2059) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-08-31 |