| NPI | 1912334079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AZ 2871) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ 5504) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |