| NPI | 1952683740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR2955) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA2345) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2016-11-08 |