| NPI | 1396260105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 13815) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-17-37200) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2023-03-15 |