| NPI | 1578841524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 0000004007) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 8965) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2016-01-25 |