| NPI | 1649649450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 6767) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2022-09-11 |