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 |