| NPI | 1669569224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT3803) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-03-02 |