| NPI | 1770986416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10218) |
| 222Q00000X Developmental Therapist | |
| 225800000X Recreation Therapist (Licence: 48665) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2020-02-17 |