| NPI | 1780195438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT30607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30607) |
| 104100000X Social Worker | |
| 222Q00000X Developmental Therapist (Licence: FL PT30607) | |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2026-10-06 |