| NPI | 1538420682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 171W00000X Contractor |
| 174H00000X Health Educator | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |