| NPI | 1558733386 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 174H00000X Health Educator | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-10-20 | 
| Last Update Date | 2015-10-20 |