| NPI | 1417214248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: KY 201132814) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2024-06-17 |