| NPI | 1457840902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 226000000X Recreational Therapist Assistant | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-06-16 |