| NPI | 1558752782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-08-10 |