| NPI | 1588762439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 106260) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2015368) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-11-02 |