| NPI | 1356447890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22617) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT22617) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-07-21 |