| 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 |