| NPI | 1578703377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL SI2694) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL B625733847510) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2016-01-28 |