| NPI | 1902131147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL N/A) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2015-07-27 |