| NPI | 1699029314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT15432) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28929) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2014-01-08 |