| NPI | 1144828708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: MA 424578) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 424578) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |