| NPI | 1316617301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018588) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ 20528) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2024-05-20 |