| NPI | 1063673838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 140089) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2865) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |