| NPI | 1467965137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS101146) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS101146) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-10-30 |