| NPI | 1013554989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT302178) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027449) |
| 225100000X Physical Therapist (Licence: WA PT60798852) | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2025-08-19 |