| NPI | 1295103372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PTA24885) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-02-12 |