| NPI | 1578942520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-05-05 |