| NPI | 1043680143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 16081) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2025-12-19 |