| NPI | 1477926822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4079) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2016-09-15 |