| NPI | 1922306968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005376) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306601363) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-06-13 |