| NPI | 1215182092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 108721011) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 108721011) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |