| NPI | 1689402240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306606585) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002793) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-26 |