| NPI | 1144691643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: 22) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-10-10 |
| Last Update Date | 2015-10-10 |