| NPI | 1184259301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA 246657650) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |