| NPI | 1265137558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 000) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |