| NPI | 1841674256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC P023021) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P023021) |
| 222Q00000X Developmental Therapist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2025-12-10 |