| NPI | 1326298738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL PT28315) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 026072) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01115300) | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2016-10-19 |