| NPI | 1831341239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 4487) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2019-10-09 |