| NPI | 1285905174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2019-05-03 |