| NPI | 1922210814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2053480) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 111585) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |