| NPI | 1801003876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-05-19 |