| NPI | 1083916662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-25-456319) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2025-08-07 |