| NPI | 1538538814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225200000X Physical Therapy Assistant (Licence: FL PTA 19464) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |