| NPI | 1114398088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL RBT-16-15745) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-06-02 |