| NPI | 1386005171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 104100000X Social Worker | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |