| NPI | 1033349006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: CT 3764) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: AZ 5223) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2012-12-27 |