| NPI | 1255892097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WY PCSW-1213) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 12514) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-02-07 |