| NPI | 1881082980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: MA 123465) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123465) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2021-11-02 |