| 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 |