| NPI | 1801564364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: CT C012022002593) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2574792) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-07-15 |