| NPI | 1326230004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 7392) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT 7392) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2015-06-13 |