| NPI | 1689973844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 7165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12135) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2011-03-26 |