| NPI | 1366645673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-03-19 |