| NPI | 1295081297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: VA 2366) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: VA PGP-0641378) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |