| NPI | 1780062778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: AL 00138539) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-12 |