| NPI | 1801607254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: KY 199902572) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |