| NPI | 1508113655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ot14546) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT14546) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2025-11-18 |