| NPI | 1922358266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 001892) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 001892) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2022-10-21 |