NPI | 1528703774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: PA BH005436) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: PA 6841502) |
Enumeration Date | 2022-05-02 |
Last Update Date | 2022-05-03 |