| NPI | 1174145247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 0009924447) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-07-14 |