| NPI | 1467882027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174400000X Specialist (Licence: NY 819634) | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2021-02-02 |