NPI | 1750771846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 174400000X Specialist |
252Y00000X Early Intervention Provider Agency | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-02-19 |