| NPI | 1780018150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 106146) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1132595) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |