| NPI | 1710067293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA pt7720) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: CA PT7720) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-09-11 |