| NPI | 1528096930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL PT 16564) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT 16564) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 16564) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-04-29 |