| NPI | 1881884484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 171W00000X Contractor |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-10-24 |