| NPI | 1790140895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT-27995) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-4031) |
| 225X00000X Occupational Therapist (Licence: HI OT-1268) | |
| 225X00000X Occupational Therapist (Licence: FL OT14765) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2021-07-11 |