| NPI | 1649587882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 4266) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 2605) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |