| NPI | 1184119323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 132.365) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-18-57672) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-08-04 |