| NPI | 1356460562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NH 0771) |
| 225200000X Physical Therapy Assistant (Licence: VT 0410000490) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-11-12 |