| NPI | 1952616989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 931824) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 158267021) |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2010-08-14 |