| NPI | 1346882453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO SWC0000001202) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-101341) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-11-27 |