| NPI | 1205177979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1227881) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2015-03-05 |