| NPI | 1376087999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 13254) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-114547) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2020-03-12 |