| NPI | 1174244214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: HI RBT-22-233076) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2025-08-11 |