| NPI | 1255648382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH9028) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2011-07-26 |