| NPI | 1306248968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5190) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2025-06-16 |