| NPI | 1821093295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT11690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22083) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-11-13 |