| NPI | 1285965814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 1115139) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 2161882) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |