| NPI | 1760952667 |
|---|---|
| Former Name | AMY LAFONTAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2022-04-20 |