| NPI | 1568881605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0903002319) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-04-20 |