| NPI | 1588144067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner (Licence: TX 89139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1246459) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2021-04-15 |