| NPI | 1780739524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA Z12265) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 05110) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2010-06-25 |