| NPI | 1528749215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: RBT-23-286657) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: CO RBT-23-286657) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |