| NPI | 1932422839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 13029) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 25036) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |