| NPI | 1437710316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: FL 202477066-14) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2024-12-12 |