| NPI | 1225170459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OT1113) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT11113) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-12-28 |