NPI | 1447633573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 251S00000X |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2017-02-09 |