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 |