| NPI | 1447290333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT22503) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT10841) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-05-15 |