| NPI | 1952770315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 222Q00000X Developmental Therapist | |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2025-01-10 |