| NPI | 1447687447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1314972) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 146D00000X Personal Emergency Response Attendant | |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2019-02-18 |