| NPI | 1427493501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: GA 628955) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: GA 628955) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |