| NPI | 1912399304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 20510) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 13540) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |