| NPI | 1427608181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |