| NPI | 1316351745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: VA PGP-0661083) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-06-19 |