| NPI | 1891830261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT7753) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT7753) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-11-07 |