| NPI | 1033626213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 16570) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-08-29 |