| NPI | 1619006608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 60571840) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 372600000X Adult Companion | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-05-03 |