| NPI | 1073630349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: MO 110375) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 110375) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-10-26 |