| NPI | 1669928446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7561) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-11-03 |