| NPI | 1932464245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.010417) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT.004248) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |