| NPI | 1063702355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PR 1404) |
| Additional Taxonomies | 374J00000X Doula (Licence: FL Doulio-CTAC-C3264005) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2026-05-13 |