| NPI | 1386945301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: TX 10-4024) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 10-4024) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2011-02-17 |