| NPI | 1346585304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020154) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035060) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2024-01-24 |