| NPI | 1366784019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AK 131090) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AK 2544) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-08-10 |