| NPI | 1255345591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 377) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 723) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2007-07-08 |