NPI | 1467806901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA26606) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2016-04-21 |
Last Update Date | 2017-03-03 |