NPI | 1295269124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19284) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-04-18 |
Last Update Date | 2023-03-30 |