| NPI | 1710059167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 433) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 1617) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-09-11 |