| NPI | 1811435340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL MH14431) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14431) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2026-04-06 |