| NPI | 1770844565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4725) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8150) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2020-11-28 |