| NPI | 1447089834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: VA 44269) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-05-05 |