| NPI | 1396865424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 104100000X Social Worker | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2011-04-12 |