| NPI | 1295855476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT001241E) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126823) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2009-01-14 |