| NPI | 1457585622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL PENDING) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PENDING) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |