| NPI | 1053811992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-20892) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-33863) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2022-12-21 |