| NPI | 1780958769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MI 1018) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: VA 1018) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |