| NPI | 1881098358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL OTA12324) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2022-03-03 |