| NPI | 1316163991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009964) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009488) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-03-18 |