| NPI | 1801858493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PR 838) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-12-12 |