| NPI | 1356099964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW18415) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-187005) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2025-04-01 |