NPI | 1699020511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 104100000X Social Worker |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2012-07-17 |
Last Update Date | 2020-01-15 |