| NPI | 1194456558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 24-391484) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW141987) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-03-03 |