| NPI | 1114800422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-26 |