| NPI | 1851618490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PR 1949) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: PR 6073) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2018-10-17 |