| NPI | 1265994644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 10569192-3503) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT 19-82949) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-09-27 |