| NPI | 1801937206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2019-02-05 |