| NPI | 1407520083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: CT 4832244092) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |