| NPI | 1679820757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502002799) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202006980) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |