| NPI | 1235817784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA 49939) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 10115) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2025-07-25 |