| NPI | 1437694940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 222Q00000X Developmental Therapist | 
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PTA27201) | 
| Enumeration Date | 2016-12-20 | 
| Last Update Date | 2024-04-09 |