| NPI | 1780820175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 865678) |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: FL 865678) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2010-04-28 |