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 |