| NPI | 1346588969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1227079) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115015) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2020-07-30 |