NPI | 1992161194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 30996) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT 30996) |
Enumeration Date | 2016-01-05 |
Last Update Date | 2019-08-01 |