| NPI | 1770944886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 8609) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A3464) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2023-08-20 |