| NPI | 1730147976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR-1848) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ PTA-0252A) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-11-21 |