| NPI | 1619230273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OT2015-037) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA2635) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2015-10-15 |