| NPI | 1396192381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.006904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225200000X Physical Therapy Assistant (Licence: IA 078183) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-07-18 |