| NPI | 1831677400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2086531) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: TX L-319211) |
| 225200000X Physical Therapy Assistant (Licence: CA PTA5622) | |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2025-10-05 |