| NPI | 1700153020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18988) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT18988) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2017-11-26 |