NPI | 1194261180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20817) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-01-13 |
Last Update Date | 2023-01-23 |