| NPI | 1003317637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 15656) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 010557591) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-04-05 |