| NPI | 1942559166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW229782) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2024-01-10 |