| NPI | 1679279681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 1971070) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2025-09-16 |