NPI | 1396882510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 1396882510) |
Additional Taxonomies | 174400000X Specialist (Licence: FL PTA19167) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2008-11-24 |