| NPI | 1366318123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004440) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: KY 009348) | |
| 225100000X Physical Therapist (Licence: CO CP049122T) | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2026-06-10 |