| NPI | 1174071302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-20-148041) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-03-05 |