| NPI | 1720411721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2021-10-19 |