NPI | 1245702950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20164) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-12-19 |
Last Update Date | 2023-09-14 |