| NPI | 1467343988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |