NPI | 1912160003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0100X Psychologist, Health Service |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2056629) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2025-08-05 |