| NPI | 1952584427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT8422) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA1029) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2012-05-10 |