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 |