| NPI | 1649577701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2009000971) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist (Licence: KS 17-022551) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |