| NPI | 1619422417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: VA 0119006955) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006955) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |