| NPI | 1720796204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-02-16 |