| NPI | 1467851048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT31998) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2020-01-27 |