| NPI | 1447089834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: VA 44269) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 44269) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-04-01 |