| NPI | 1275271652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| 174400000X Specialist | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2026-06-08 |