| NPI | 1245793652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 11285616-3503) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2026-08-06 |