| NPI | 1174022727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022014771) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2022-08-10 |