| NPI | 1366180101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P022191) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-22-214490) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2025-06-17 |