| NPI | 1871970509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: TX 02-2235) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 02-2235) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |