| NPI | 1720470552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 174400000X Specialist |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2017-09-21 |