| NPI | 1356486443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR pta1487) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR sp2304) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |