NPI | 1578894374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 06784) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA Z11182) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2011-07-19 |