| NPI | 1710460761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: TX 53373505) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: TX 53373505) |
| 251S00000X (Licence: TX 53373505) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |