| NPI | 1992023105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: TX 37968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1124527) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2021-05-24 |