| NPI | 1285090589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30991) |
| Additional Taxonomies | 104100000X Social Worker |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |