NPI | 1144691395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL 057.004154) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MO 2014034916) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |