| NPI | 1952421547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 19515) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PT19515) |
| 225400000X Rehabilitation Practitioner (Licence: CA PT19515) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-06-09 |