| NPI | 1225849557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502003236) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202007249) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |