| NPI | 1073091500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 240185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-09-13 |