| NPI | 1124655659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |