| NPI | 1831157486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PR 1236) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 839) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-09-11 |