| NPI | 1437606506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 171M00000) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2026-01-23 |