| NPI | 1063809481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1051118) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 101131) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |