| NPI | 1568580330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator (Licence: FL 171MOOOOOX) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL 811704700) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-03-13 |