| NPI | 1669154050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: ND 1922) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1922) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2025-12-10 |