| NPI | 1750741997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: ID 7019) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: ID 7029) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |