| NPI | 1639039928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NY 1973386251) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1973386251) |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2026-01-13 |