| NPI | 1417485814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA27580) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PAT27580) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2025-12-04 |