| NPI | 1538606165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker | |
| 225100000X Physical Therapist (Licence: AZ CP008118T) | |
| 225100000X Physical Therapist (Licence: KY CP003391T) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-09-20 |