| NPI | 1962761098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 882) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 13760) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2017-01-24 |