| NPI | 1609375997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2135672) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 214550) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |