| NPI | 1639531429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MS pta 5698) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-02-02 |