| NPI | 1073884730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 252Y00000X Early Intervention Provider Agency | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 222Q00000X Developmental Therapist (Licence: GA 416883) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-02-21 |