| NPI | 1679932982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 222Q00000X Developmental Therapist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2023-11-06 |