| NPI | 1861780587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: VA PGP-531072) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-07-21 |