| NPI | 1295972693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 7583) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: OR A0257) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |