| NPI | 1366824609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23258) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-02-19 |