| NPI | 1932518347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13458) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2022-02-04 |