| NPI | 1700029618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL Sw 10597) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2016-12-12 |