| NPI | 1073807731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1112969) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |