| NPI | 1467901637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA26678) |
| Additional Taxonomies | 226000000X Recreational Therapist Assistant (Licence: TX 2113325) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |