| NPI | 1558810945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 17195) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2022-12-16 |