| NPI | 1922669407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 4614) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN 0721) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |