| NPI | 1639347453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AL 2717) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 02501) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-10-31 |