| NPI | 1730752528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YS0200X Counselor, School | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-01-20 |