| NPI | 1437625845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2026-04-23 |