| NPI | 1255015145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009927368) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2026-05-27 |