| NPI | 1548754336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW14065) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2020-01-16 |