| NPI | 1134411838 |
|---|---|
| Former Name | DYLAN SUZANNE FORSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 313544) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-02-01 |