| NPI | 1891086849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4795) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2079) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2017-02-15 |