| NPI | 1871761924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL SW9736) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL 103tm1800x) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2013-11-15 |