| NPI | 1548328081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT15759) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-07-20 |