| NPI | 1588914758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06025800) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-11-15 |