| NPI | 1902218811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT0000004593) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000009424) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2018-04-12 |