| NPI | 1962076331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171400000X Health & Wellness Coach | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-01-11 |