| NPI | 1710251590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 15085) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2021-09-27 |