| NPI | 1972837268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1096964) |
| Additional Taxonomies | 374J00000X Doula (Licence: TX 4546) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2015-07-17 |