| NPI | 1215557822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD R4130) |
| Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered, Home Health (Licence: MD R4130) |
| 104100000X Social Worker (Licence: MD R4130) | |
| 225X00000X Occupational Therapist (Licence: MD R4130) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MD R4130) | |
| 251F00000X Home Infusion (Licence: MD R4130) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |