| NPI | 1659622769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH 9085) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 4281) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2020-09-22 |