| NPI | 1407460223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: FL L534-173-81-942-0) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-12-11 |