| NPI | 1730355942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 852-026) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 1185-019) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |