| NPI | 1699928663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NC 8700014) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-06 |