| NPI | 1861607707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6701) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-12-16 |