| NPI | 1043092794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P022201) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2025-07-16 |