NPI | 1831172477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305006303) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704009537) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2020-05-15 |