| NPI | 1184292393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: CO 318018) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-07-01 |