| NPI | 1174592935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT2278) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 2278) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-07-27 |