| NPI | 1457904237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 11952) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |