| NPI | 1164161402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 0009924484) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-11-09 |