| NPI | 1720832785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: AR 4392888) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AR 4392888) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-29 |