| NPI | 1447329255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1112175) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1112175) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1112175) | |
| 225X00000X Occupational Therapist (Licence: TX 108312) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 108312) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 108312) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-09 |