| NPI | 1184264269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: CT 222q00000x) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |