| NPI | 1518784842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: WV U8A139300027) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-12-23 |