| NPI | 1912314832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2023-05-12 |