| NPI | 1851776983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MD 08465) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0004268) |
| 225X00000X Occupational Therapist (Licence: TX 115229) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2018-05-08 |