| NPI | 1861867087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL F435-786-55-550-0) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2026-04-05 |