| NPI | 1255841755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |