| NPI | 1467579805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL PT6175) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT6175) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-03-13 |