| NPI | 1174786453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 251B00000X Case Management (Licence: FL S520437688440) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-01-05 |