| NPI | 1649453697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 1518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009640) |
| 225X00000X Occupational Therapist (Licence: MT 769) | |
| 225X00000X Occupational Therapist (Licence: WA OT00001701) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |