| NPI | 1326516816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35228) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT6085700) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2021-09-24 |