| NPI | 1205359262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC PO15890) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P011264) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |