| NPI | 1245392927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4061) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SW4061) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-08-20 |