| NPI | 1841448016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 24257) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 24257) |
| Enumeration Date | 2008-08-30 |
| Last Update Date | 2024-09-30 |